Unlisted procedure microbiology at UPMC Chautauqua
207 Foote Avenue, Jamestown, NY · UPMC · · NPI 1770573222
$128.40
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$214.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$53.50 with Aetna vs $192.60 with Affordable First Health — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Aetna | Medicare | $53.50 | ↓ -58% |
| Geisinger | Medicaid/CHIP | $117.70 | ↓ -8% |
| UPMC Health Plan | Commercial | $128.40 | ↑ +0% |
| United Healthcare | Commercial | $136.96 | ↑ +7% |
| Aetna | Commercial | $139.10 | ↑ +8% |
| Humana | Commercial | $160.50 | ↑ +25% |
| MagnaCare | Direct Plus | $160.50 | ↑ +25% |
| MagnaCare | No Fault | $160.50 | ↑ +25% |
| MagnaCare | PPO | $160.50 | ↑ +25% |
| MagnaCare | Workers Compensation | $160.50 | ↑ +25% |
| Multiplan | PPO (Includes PHCS as a Payer) | $160.50 | ↑ +25% |
| GHI/Emblem Health | Commercial | $171.20 | ↑ +33% |
| Statewide Independent PPO | PPO | $188.32 | ↑ +47% |
| Affordable First Health | PPO | $192.60 | ↑ +50% |
Visitor-reported prices
Comments
Unlisted procedure microbiology at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Rochester General Hospital | Rochester | $1,043.48 | not published |
| Clifton Springs Hospital and Clinic | Clifton Springs | $1,043.48 | $14.58 – $14.58 |
| Gouverneur Hospital | Gouverneur | $977.50 | not published |
| Massena Hospital | Massena | $977.50 | not published |
| Canton-Potsdam Hospital | Potsdam | $1,082.58 | not published |
| The Unity Hospital of Rochester | Rochester | $1,284.28 | not published |
| Newark Wayne Community Hospital | Newark | $1,043.48 | not published |
| Bellevue Hospital Center | NY 10016 | not published | $1.00 – $15.95 |